VERNON INTEGRATIVE MEDICAL GROUP, LLC

WORCESTER, MA
NPI1972935070
Entity TypeOrganization
Authorized ContactJON TRISTER
Owner
508-754-9950
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MA  80587)
Enumeration Date2013-07-31
Last Update Date2013-07-31
Business Address
VERNON INTEGRATIVE MEDICAL GROUP, LLC
141 MASSASOIT RD
WORCESTER, MA 01604-3318
Phone number: 508-754-9950
Mailing Address
VERNON INTEGRATIVE MEDICAL GROUP, LLC
141 MASSASOIT RD
WORCESTER, MA 01604-3318
Phone number: 508-754-9950
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PRIMARY PHYSICIAN PARTNERS
MEHRUNISSA KAZIM
TINEVIMBO JARAVAZA
RANDALL J. MORSE
ISABEL CRISTINA CASTRO
DAVID R CAVE
NIKHIL SHAH
AMIN SABET
MARY A VALLIERE
KYUNG H KIM